Individual provider Active NPI

Amber Diego, RT (MR)(R)

  • Radiography Radiologic Technologist
  • Chandler, AZ
National Provider Identifier
1912382573
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
14002 Issued in AZ
Practice address
1417 N Santa Anna CT
Chandler, AZ 85224-8327
Phone
(480) 388-2514
NPI assigned
Jul 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X 14002 AZ Primary

Addresses

Primary practice location

1417 N Santa Anna CT
Chandler, AZ 85224-8327

Mailing address

1417 N Santa Anna CT
Chandler, AZ 85224-8327
Phone (480) 388-2514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14002AZMDRadiography Radiologic Technologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1912382573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 N SANTA ANNA CT",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248327",
            "telephone_number": "480-388-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N SANTA ANNA CT",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248327",
            "telephone_number": "480-388-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEGO",
        "first_name": "AMBER",
        "credential": "RT (MR)(R)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "AZ",
            "license": "14002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.